HomeMy WebLinkAboutCLE200900154 Review Comments Zoning Clearance 2009-09-24Applcato�foZ ®i�g_Cl_ear_ance_
Zoning Clearance = $35
OFFICE USE ONLY
Check # Date:
PLEASE REVIEW ALL 3 SHEETS"
Receipt # Staff:
PARCEL INFORMATION 1
Tax Map and Parcel: % l w Se c-tt&n % &10ck',A Existing Zoning 14 C
-�-ar- set= 0�ner_:--- �- ✓'s?r�„t%�h:r�p 1 it ff i "�
Parcel Address: '3'70 l'eeo�ficr4) r 42 City akO#Ko %ll-' State VA Zip 27-410/
(include suite or floor)
PRIMARY CONTACT
Who /write
should we call concerning this project?
Address City C ,Wlr /f3ffe5'J)11,' State Vw Zip Z7,90Z
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Office Phone: E-mail Jf � W 0-1 PPVrAl6 & YCrhoO. (-fs;,f
APPLICANT INFORMATION
Check any that apply: X Change of ownership Change of use X Change of name New business
Business Name /Type: eenb. er i5me e?,e al lfw )&d - iV2-tev-r nay O Cc-
Previous Business on this site V6—(6k4AjW efevgen % 1 fit ye4<roiai &f66C
Describe the proposed business including use, number of employees, number of shifts, available parking spaces, number of
vehicles, and any additional information that you can rovide. "7 .b�° o j 4?A emiaraed�Cs� 1,1X tJ o
N ill- t J,?,- - eW,010i,,eP A l e4 i,;A(i�y�,'- (ALA ,-J LJO- - a -- R&IA Sdir{�t` ! t�e� -At'< ^f5 'lets7d
Of hr, on Eror€�c��,°�r ,M' el'S' Ov)` -3 c/dP"g"TS s �"L� a-e olL� Iy' � � � rpoceo &- )�-, 8'l -" ✓-�
*This Clearance will only be valid o�tl e�p�ar�c fo�w it is approved. If yo change, intensif� or move the use to anew location anew Zoning
Clearance will be required. 7 °� - ✓ Kf o"dL°i• t r beep Rj-1 / kS bi da Irby
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Of- .101" -b",5k o &Lt 70&q '7 -- epe- cg•�e- e7e O-Arv-c` vZGjtG
I hereby certify that I own or have . te owner's permission to use the space indicated on this application. I also certify that the information provided
is true and accurate ,t best of owled .e. I have read the conditions of approval, and I understand them, and that I will abide by them.
Signature N—K _ _ _ _ _ _ Printed_ - - - TQ i Pp _ -sk -_
d
APPROVAL INFORMATION r
[� ] Approved as proposed Approved with conditions [ ] Denied
[ ] B ckflow prevention device and/or current test data needed for this site. Contact ACSA, 977 -4511, x119.
;,"o
" physical site inspection has been done for this clearance. Therefore, it is not a determination of compliance with the existing
site plan.
[ ]This site orripses with the sit plan as of s date f e
Notes:
Building Official Date 4
Zoning Official Date �� G 1
Other Official Date
t-ounty of Amemarle impartment of Uommunity Development
401 McIntire Road Charlottesville, VA 22902 Voice: (434) 296 -5832 Fax: (434) 972 -4126
Revised 04/28/08 Page 2 of 3
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